| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LESLIE TEBO | 1619098589 | 2024-01-08 |
Leslie Tebo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619098589. Registration indicates Leslie Tebo is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Leslie Tebo LMSW |
| Other Provider Name | Leslie Sciolino |
| Practice Office Address | 244 HEMPSTEAD AVE BUFFALO, NY US |
| Practice Office Telephone | 7168317877 |
| Practice Office Fax | 7168316666 |
| Mailing Address | 244 HEMPSTEAD AVE BUFFALO, NY 142153404 US |
| Business Telephone | 7168317877 |
| Business Fax | 7168316666 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 085833-1
NY |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |